A 54-year-old man with melena is haemodynamically stable after resuscitation. Haemoglobin is 6.8 g/dL. No active cardiac ischaemia. What is the next b...

Question

A 54-year-old man with melena is haemodynamically stable after resuscitation. Haemoglobin is 6.8 g/dL. No active cardiac ischaemia. What is the next best step?

Accepted Answer

Transfuse packed red blood cells now (restrictive threshold

Answer

Defer transfusion until endoscopy

Answer

Transfuse only if haemoglobin

Answer

Start octreotide infusion before transfusion

Answer

Urgent endoscopy within 6 hours without transfusion

us-abem MCQ (SBA): Upper GI Bleeding

A 54-year-old man with melena is haemodynamically stable after resuscitation. Haemoglobin is 6.8 g/dL. No active cardiac ischaemia. What is the next best step?